Jason Allen Thiel is a Dentist in Mishicot, Wisconsin. Jason Allen Thiel practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jason Allen Thiel is 1407867773. The last update date is 2007-07-08.
Jason Allen Thiel's current location address is 105 N Park Ln, Mishicot, Wisconsin. You can contact this provider via phone number 9207552336 and fax number 9207554930. The mailing address for Jason Allen Thiel is 105 N Park Ln, Mishicot, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Allen Thiel |
|---|---|
| Address | 105 N Park Ln, Mishicot, Wisconsin |
| Phone Number | 9207552336 |
| Fax Number | 9207554930 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407867773 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 N Park Ln |
|---|---|
| City | Mishicot |
| State | Wisconsin (WI) |
| Post Code | 542289537 |
| Phone Number | 9207552336 |
| Fax Number | 9207554930 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5096-015 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Jason Allen Thiel by the Centers for Medicare & Medicaid Services?
The Jason Allen Thiel has been assigned the NPI (National Provider Identifier) 1407867773. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jason Allen Thiel?
The Jason Allen Thiel is physically situated at 105 N Park Ln, in the city of Mishicot, state of WI, with the postal code 542289537.
What is Jason Allen Thiel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason Allen Thiel is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Jason Allen Thiel receive its 1407867773 assignment from the Centers for Medicare & Medicaid Services?
The Jason Allen Thiel was assigned its 1407867773 on 2006-08-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jason Allen Thiel most recently updated or revised?
The details related to Jason Allen Thiel, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.